US5072906A - Hospital bed with pivoting headboard - Google Patents
Hospital bed with pivoting headboard Download PDFInfo
- Publication number
- US5072906A US5072906A US07/309,886 US30988689A US5072906A US 5072906 A US5072906 A US 5072906A US 30988689 A US30988689 A US 30988689A US 5072906 A US5072906 A US 5072906A
- Authority
- US
- United States
- Prior art keywords
- bed
- patient
- power column
- arm
- bed site
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
- A61G12/002—Supply appliances, e.g. columns for gas, fluid, electricity supply
- A61G12/004—Supply appliances, e.g. columns for gas, fluid, electricity supply mounted on the ceiling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
- A61G2203/80—General characteristics of devices with special adaptations, e.g. for safety or comfort for connecting a trolley to a device, e.g. bed or column table
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2210/00—Devices for specific treatment or diagnosis
- A61G2210/30—Devices for specific treatment or diagnosis for intensive care
Definitions
- This invention relates to the location of patient care instruments with respect to a patient's bed.
- a modern critical-care room has a computer terminal and display.
- the nurse or other person attending the patient uses the computer terminal to bring up the person's chart electronically, to determine what procedures have been prescribed for the care of the patient, can administer those procedures to the patient, can take vital signs and can make appropriate entries in the computer of the patient's condition and the care that has been given the patient, thereby bringing the patient's chart up-to-date.
- the computer terminal is usually on a stand in the patient's room, the terminal being accessible but nevertheless out of the way of the attendant's movements as the attendant administers to the patient.
- the attendant may make two, three or four trips to the terminal in a brief (up to ten minutes) visit to the patient's room.
- the patient's room has been provided with a headwall or power column.
- the headwall or power column presents electrical outlets for patient care equipment, gas and vacuum outlets and many accessories for the care of the patient, including an infusion pump, a sphygmomanometer and cuff for taking blood pressure, drainage equipment and a monitor for the display of regular or continuously-monitored patient data, including EKG data, blood pressure data and the like.
- the headwall and power column have been fixed, usually at or close to the wall of the patient's room adjacent the head end of the patient's bed. In some instances, in the case of a headwall, some items of equipment are duplicated on each side of the patient's bed so as to be available to the patient on either side of the bed, depending upon the patient's condition. In instances where it is necessary to administer a code procedure to the patient having heart arrest, the bed itself must be moved away from the headwall or power column in order to make available the head end of the bed for access to the patient.
- An objective of the present invention has been to provide patient care instruments such as the computer terminal and the power column is a position that is immediately accessible at the point of patient care and is out of the way of the movement of persons attending the patient in both the routine nursing care and emergency procedures.
- This objective of the invention is attained by mounting the patient care instruments on arms that swing about pivot axes passing through either or both ends of the patient's bed.
- the pivotal mounting permits the swinging of the instruments to any position on an arc that passes from one side of the bed across the end of the bed to the other side of the bed.
- the nurse swings the computer terminal to the point of care. Without taking steps to operate the computer terminal, the nurse can bring the patient's chart upon the terminal screen and can perform all the nursing tasks required. All of the data concerning the patient's care and condition is entered while the nurse stands at the point of care.
- the advantage of a swinging power column is similar to that of the swinging computer terminal.
- the instruments on the power column are brought both to the side of the patient where they are most conveniently used in the patient's care. That position of the power column would normally the immediately adjacent the selected point of care.
- the walking required by the nurse in attending the patient is reduced to an absolute minimum in that no steps should be required for the use of the instrumentation on the power column and no steps would be required for the use of the computer terminal.
- the swinging power column adds space flexibility for optimumally positioning a ventilator, IV pumps, eliminating lines crossing over crossing over the patient and otherwise keeping "points of care" free of obstructing equipment. Further, the flexible power column positioning allows the column to fit the type of patient being cared for, neurosurgery, heart surgery, etc.
- the pivoting power column feature of the invention admits of a variation wherein the power column can be fixed but the power column has a pivotably nesting section, the nesting section containing the instrumentation that is conveniently brought to the patient's side.
- the monitor On the upper and fixed part of the column would be the monitor which normally can be viewed from any point of care.
- the monitor screen be mounted on a frame that is rotatable in the power column so that the monitor can be positioned for viewing from either side of the bed. It is known to mount the monitor on an arm projecting from a known power column. In accordance with the present invention, the monitor would be positioned in vertical alignment with the power column so as to minimize the lateral space required by the combination of power column and monitor.
- the invention contemplates a power column and/or computer used with a hospital bed of the type wherein the bed is very mobile and the patient never leaves the bed as he is moved from point to point, such as surgery, X-ray, therapy and the like.
- the invention provides a swinging power column or computer terminal mounted on an arm which is pivoted to the hospital room floor.
- the apparatus may have a docking connection, that is, a receptacle into which the bed moves to connect the bed to the normal power equipment employed in raising and lowering the bed and adjusting the position of the patient.
- the invention further contemplates the docking connection having, in addition to electrical and power signals, a source of hospital air to control the inflation of sleeping surfaces that may be mounted on hospital beds.
- a bed site is a rectangular area on which the bed is positioned when the bed and patient are in the critical-care room.
- FIG. 1 is a diagrammatic perspective view of apparatus in accordance with the present invention.
- FIG. 2 is a diagrammatic, disassembled perspective view of an alternative form of the invention.
- FIG. 3 is a diagrammatic plan view illustrating the operation of the invention.
- FIG. 4 is a diagrammatic, disassembled perspective view of an alternative embodiment of a power column in accordance with the present invention.
- FIG. 5 is a perspective view of an alternative form of the invention.
- FIG. 6 is a perspective view of the modification of the alternative form of the invention of FIG. 5;
- FIG. 7 is a fragmentary perspective view of a modification of FIG. 6.
- FIG. 7A is an enlarged view of the area within the circle of FIG. 7.
- a hospital room 10 has a ceiling 11, a floor 12, and the usual walls, not shown.
- a rectangular bed site 15 is shown in phantom lines on the floor 12.
- the bed site has a head end 16 and a foot end 17.
- the position of the head end and foot end can be reversed.
- a power column 20 is mounted at its upper end on a swinging arm 21 and at its lower end to a swinging arm 22.
- the arms 21 and 22 are pivoted on an axis 23 which passes through the head end 16 of the bed site 15 and coincides with the longitudinal centerline of the bedside.
- the arm 21 is pivoted to the ceiling 11 and the arm 22 is pivoted to the floor 12.
- electrical and gas conduit 25 pass from the ceiling through the arm 21 to the power column 20.
- conduit 25 are terminated at electrical, gas and vacuum outlets 26 as are conventional in power columns and headwalls.
- a monitor 30 is mounted in the upper portion of the power column 20, the monitor providing real time, continuous wave forms depicting the patient's heart condition, blood pressure, etc. It is contemplated that the power column has the capability of swinging through an arc of approximately 120° and be infinitely positionable at any point along the arc. The arc extends from one side of the bed through the end of the bed to the other side of the bed.
- a computer terminal 35 is suspended by a bracket 36 from an arm 37.
- the arm has an end 38 that is pivoted to the ceiling 11 about an axis 39 passing through the foot end of the bed.
- the mounting for the arm preferably has a counterweight or counterspring which permits the arm to be easily raised to the phantom line position 40 in FIG. 1 or lowered to the full line position as shown.
- the computer terminal preferably has a handle 42 to assist the attending in moving the terminal up and down as well as in a horizontal arcuate direction.
- the pivot connection for the arm 37 permits the terminal to be swung through an arc of at least 180° so as to bring the terminal to an infinite number of positions through an arc passing from one side of the bed through the foot end of the bed to the other side of the bed.
- the invention further contemplates the option of providing a pivoting pump rack arm 45 having one end pivoted on the axis 23 of the power column and having a free end 46 that supports a pump rack 47.
- the pump rack contains different types of administration sets and infusion pumps for administering intravenously to the patient.
- the pivoting arm 45 makes the pump rack accessible to either side of the bed.
- the pump rack 45 is mounted on the center line of the patient and swings in a 180° arc (opposite the power column rotation) over the patient.
- a power column 50 has a fixed section 51 and a pivotal section 52.
- the pivotal section may contain oxygen, vacuum and accessories 56 for the treatment of the patient. It is preferably mounted on an arm 53 that is pivoted on an axis 54 passing through the head end of a bed 55.
- the fixed section 51 has a recess 57 into which the pivotal section can be swung when it is not in use. In this embodiment of the invention, it is preferred that the fixed section 51 be mounted at the corner of the bed site so as to leave the head end of the bed 55 available for code procedures.
- the pivot section 52 has an available path of movement of about 120°, as does the power column 20 of FIG. 1.
- the pivotal section of a fixed power column makes medical gases available simultaneously on both sides of the patient with gases available from the columns as well as the pivoting section.
- the pivoting section can also carry a small ventilator or a tram, a tram being a device for carrying small vital signs equipment.
- FIG. 3 shows the manner in which the invention operates.
- a bed 55 has a patient 60.
- points of care 61 and 62 On either side of the bed are points of care 61 and 62.
- the computer terminal 35 operated by a nurse or other attendant 63 can be positioned adjacent either of the points of care whereby to permit the nurse to perform all of the administrative functions with a minimum of movement about the patient's room 10.
- the power column 20 is movable about the path 64 to either side of the bed as well as to the head of the bed 55. In the code procedure, if necessary, the power column 20 is movable completely out of the way of the persons attending the patient.
- a power column 70 is pivoted on upper and lower arms 21 and 22.
- the power column has a lower section 71 which is fixed to the arm 22.
- the upper section is a rectangular frame 75 which is pivoted to the arm 21 and to the lower section 71 on the axis 23.
- Within the frame 75 is a monitor 76.
- the monitor 76 is pivoted for movement about a horizontal axis within the frame 75.
- the frame 75 is pivoted about a vertical axis 78. With movement about both axes, the monitor screen 77 is conveniently visible to the nurse from any position that the nurse assumes next to the patient. Furthermore, the monitor itself is tucked within the frame rather than projecting from the power column as is conventional with existing columns, thereby conserving space around the patient.
- a bed 80 has a headboard/control center 81 associated with it.
- the headboard/control center is mounted on a pedestal 82 for pivoting about an axis 83.
- This headboard is electrically self-contained and does not have controls that are connected to the bed to operate it. While it may contain a computer, the computer is electrically self-contained.
- a connector unit or dock 90 is mounted on the pedestal 82 and contains electrical connections to all of the controls on the headboard/control center 81.
- a tail 89 projecting rearward from the pedestal contains all of the connections to be made to the hospital circuits--the power, nurse call, phone and computer power supply.
- a mating connector 91 is mounted on the bed 80.
- the fixed dock 90 to which the mobile bed is connected can also be provided with an air outlet 93 connected via a hose 94 to a computerized air mattress 95.
- an air outlet 93 connected via a hose 94 to a computerized air mattress 95.
- the program pressure mapping for the mattress would be a part of the program of the computer 35 at the work center. With control by the computer, air would inflate and deflate the patient support surface to the pressure tailored for the patient and his specific condition.
- the headboard is pivotally mounted so that in the normal day-by-day routine, the headboard can be swung to the side of the bed to permit the nurse to perform the routine tasks associated with a patient visit.
- the bed and headboard/control center are quickly separated to leave the space at the end of the bed totally unobstructed during the code situation procedures.
- control center or "work center” are deemed to generically embrace the computer terminal as well as the power column.
Abstract
Description
Claims (2)
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/309,886 US5072906A (en) | 1988-01-15 | 1989-02-14 | Hospital bed with pivoting headboard |
US07/991,445 US5377371A (en) | 1988-01-15 | 1992-12-16 | Hospital bed with pivoting headboard |
US08/033,958 US5455975A (en) | 1988-01-15 | 1993-03-19 | Hospital bed with pivoting headboard |
US08/065,880 US5299338A (en) | 1988-01-15 | 1993-05-21 | Hospital bed with pivoting headboard |
US08/183,731 US5398359A (en) | 1988-01-15 | 1994-01-18 | Hospital bed with pivoting headboard |
US08/183,998 US5396673A (en) | 1988-01-15 | 1994-01-18 | Hospital bed with pivoting headboard |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/144,188 US4811435A (en) | 1988-01-15 | 1988-01-15 | Hospital bed with pivoting headboard |
US07/309,886 US5072906A (en) | 1988-01-15 | 1989-02-14 | Hospital bed with pivoting headboard |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/144,188 Continuation-In-Part US4811435A (en) | 1988-01-15 | 1988-01-15 | Hospital bed with pivoting headboard |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US52504490A Division | 1988-01-15 | 1990-05-18 |
Publications (1)
Publication Number | Publication Date |
---|---|
US5072906A true US5072906A (en) | 1991-12-17 |
Family
ID=26841759
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/309,886 Expired - Lifetime US5072906A (en) | 1988-01-15 | 1989-02-14 | Hospital bed with pivoting headboard |
US07/991,445 Expired - Fee Related US5377371A (en) | 1988-01-15 | 1992-12-16 | Hospital bed with pivoting headboard |
US08/033,958 Expired - Lifetime US5455975A (en) | 1988-01-15 | 1993-03-19 | Hospital bed with pivoting headboard |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/991,445 Expired - Fee Related US5377371A (en) | 1988-01-15 | 1992-12-16 | Hospital bed with pivoting headboard |
US08/033,958 Expired - Lifetime US5455975A (en) | 1988-01-15 | 1993-03-19 | Hospital bed with pivoting headboard |
Country Status (1)
Country | Link |
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US (3) | US5072906A (en) |
Cited By (64)
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US5455975A (en) | 1995-10-10 |
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